Works with
How Patricia works
Practical facts
- Credentials
- LCSW
- Licensed in
- Wyoming
- Years in practice
- 7
- Languages
- English
- Session format
- Online, through our partner platform
About Patricia
Patricia (Trish) Nichols is a licensed clinical social worker who helps people manage strong emotions and everyday stress. She uses practical, down-to-earth strategies to address issues like anxiety, depression, grief, and anger. Trish works with individuals from diverse backgrounds and creates a respectful, nonjudgmental space for talking through hard things.
Trish draws on approaches such as Acceptance and Commitment Therapy, cognitive behavioral techniques, and client-centered work. She focuses on helping people notice what matters to them, change unhelpful thinking and behavior patterns, and build skills to cope with intense feelings.
Background and approach
Sessions often include goal setting, skill practice, and real-life problem solving. Her practice also addresses trauma and abuse, self-esteem struggles, sleep and eating concerns, career stress, and compassion fatigue. Additional areas she supports include abandonment wounds, attachment issues, chronic illness and pain, caregiver stress, and body image worries.
Trish pays attention to how these problems affect daily life and relationships. With seven years of clinical experience, Trish mixes practical tools with a warm, accepting approach. She helps people develop routines and small changes that make tough days easier.
The work is collaborative - clients set priorities and Trish offers steady guidance along the way. Trish is licensed in Wyoming as an LCSW and conducts sessions in English. She provides online options so people can choose the format that fits their life.
What Patricia works with
Everything Patricia lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Patricia's practice.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Self esteem
- Depression
- LGBT
- Family conflicts
- Eating disorders
- Sleeping disorders
- Anger management
- Career difficulties
- Coping with life changes
- Compassion fatigue
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Divorce and separation
- Eating and food-related issues
- Emptiness
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Postpartum depression
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Approaches Patricia lists
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Approaches that translate well to online therapy
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions that match those values. It includes exercises to notice thoughts without getting stuck and to commit to manageable behavior changes, which can reduce avoidance and overwhelm. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing them with real-life experiments. CBT teaches concrete skills like behavioral activation and thought records to reduce anxiety and depression symptoms and improve daily functioning. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people build new ways of relating and coping when old patterns cause distress.Figuring out the right approach is part of the work. The therapist collaborates with each person to choose methods that fit their goals, needs, and preferences. That might mean starting with skill-based CBT tools, then weaving in ACT values work and attachment-focused conversations as trust grows.
Online sessions offer flexible ways to meet. Video calls let people have a face-to-face conversation and practice skills with guidance. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging are useful for brief check-ins, skill reminders, and ongoing support between sessions. These options make it easier to fit therapy into a busy life and to continue work consistently.
Questions people ask about Patricia
What concerns does Trish help with?
She helps people address stress, anxiety, depression, grief, trauma, anger, sleep and eating issues, self-esteem, career strain, and compassion fatigue, among other concerns.
What is her therapeutic style like?
Her style is warm and collaborative, combining Acceptance and Commitment Therapy, cognitive behavioral techniques, and client-centered listening to build practical skills and personal insight.
How much clinical experience does she have?
She has seven years of experience working with a variety of emotional and life challenges and has helped clients build coping strategies and routines that fit their daily lives.
Where is she licensed and based?
She is a licensed clinical social worker (LCSW) licensed in Wyoming and practices from that state.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
What session formats are available?
Sessions can be held by video calls, phone sessions, live chat, or text-based messaging to match different needs and schedules.
How do I get started with therapy?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.